CHAPTER 21 Right hemicolectomy
♦ The ileocolic vascular pedicle of the superior mesenteric artery must be isolated and divided. If the resection is performed for malignancy, it is important to divide this pedicle close to the root of the mesentery.
♦ A preoperative colonoscopy will identify the lesion to be removed. The endoscopist should tattoo the lesion in order to allow the operating surgeon to then identify a mucosal lesion from the serosal side of the bowel, and thus remove the appropriate specimen.
♦ Endo GIA (Autosuture, Covidien) roticulating stapler with gastrointestinal (3.5-mm staple height) cartridge load for division of colon; a cartridge (2.5-mm staple height) for division of ileum and a vascular cartridge (2-mm staple height) can be used for division of ileocolic vascular pedicle instead of using one of the cutting or sealing devices LigaSure or Harmonic scalpel.